[1]王波,张凯.除痹通络汤外用配合循经推拿对颈肩腰腿痛患者的影响[J].西部中医药,2019,32(07):113-117.
　WANG Bo,ZHANG Kai.Effects of Chubi Tongluo Decoction for External Use Combined with Meridian Massage on the Patients Suffering the Pain of Neck, Shoulder, Back and Leg[J].Western Journal of Traditional Chinese Medicine,2019,32(07):113-117.
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除痹通络汤外用配合循经推拿对颈肩腰腿痛患者的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年07期
页码:
113-117
栏目:
出版日期:
2019-07-15

文章信息/Info

Title:
Effects of Chubi Tongluo Decoction for External Use Combined with Meridian Massage on the Patients Suffering the Pain of Neck, Shoulder, Back and Leg
文章编号:
1004-6852(2019)07-0113-05
作者:
王波，张凯
新疆医科大学附属中医医院，新疆 乌鲁木齐 830000
Author(s):
WANG Bo, ZHANG Kai
TCM Hospital Affiliated to Xinjiang Medical University, Urumqi 830000, China
关键词:
颈肩腰腿痛; 关节功能; 疼痛程度; 远期疗效; 除痹通络汤; 循经推拿
Keywords:
the pain of neck;  shoulder;  back and leg;  joint function;  pain degrees;  long-term effects;  Chubi Tongluo decoction;  meridian massage
分类号:
R274.9
文献标志码:
B
摘要:
目的：探讨除痹通络汤外用配合循经推拿治疗颈肩腰腿痛的远期疗效及对其疼痛程度和关节功能恢复的影响。方法：将颈肩腰腿痛患者136例按照随机数字表法分为观察组和对照组各68例，2组均给予常规治疗，在此基础上对照组给予循经推拿治疗，观察组在对照组治疗的基础上配合除痹通络汤外用治疗。10天1个疗程，2组均治疗4个疗程，随访1年。观察2组患者中医证候积分、日常生活能力(ADL)、睡眠质量(PSQI)、疼痛程度(VAS)、腰椎功能(JOA)、肢体运动功能(FMA)、肩关节功能(C-M)及远期疗效。结果：治疗后2组患者中医证候积分低于治疗前(P＜0.05)，且观察组低于对照组(P＜0.05)；观察组远期总有效率为91.2%，高于对照组的77.9%(P＜0.05)；治疗后2组患者ADL、JOA、FMA、C-M评分均高于治疗前(P＜0.05)，且观察组高于对照组(P＜0.05)；2组患者PSQI、VAS评分低于治疗前(P＜0.05)，且观察组低于对照组(P＜0.05)。结论：除痹通络汤外用配合循经推拿能有效促进颈肩腰腿痛患者关节功能恢复，减轻其疼痛程度，提高临床疗效。
Abstract:
Objective: To discuss long-term curative effects of Chubi Tongluo decoction for external use combined with meridian massage in the treatment for the pain of neck, shoulder, back and leg, and its influence on pain degrees and joint functional recovery. Methods: All 136 patients were allocated to the observation group and the control group according to random number table method, 68 cases each group, both groups accepted conventional therapy, the control group were given meridian massage, and the observation group were given Chubi Tongluo decoction for external use. To observe TCM syndrome scores, daily living ability, PSQI, VAS, JOA, FMA, C-M and long-term effects of both groups. Results: After treating, TCM syndrome scores of both groups were lower than these before treating (P＜0.05), and the observation group was lower than the control group (P＜0.05); total effective rate of long-term effects in the observation group was 91.2%, higher than 77.9% of the control group (P＜0.05); after treating, ADL, JOA, FMA and C-M scores of both groups were higher than these before treating (P＜0.05), and the observation group was higher than the control group (P＜0.05); PSQI and VAS scores of both groups were lower than these before treating (P＜0.05); and the observation group was lower than the control group (P＜0.05). Conclusion: Chubi Tongluo decoction for external use combined with meridian massage could effectively promote joint functional recovery of the patients, relieve pain degrees and raise clinical effects.

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备注/Memo

备注/Memo:
收稿日期：2018-09-27*基金项目：新疆维吾尔自治区自然科学基金项目(编号2015211C019)。作者简介：王波(1981—)，男，硕士学位，主治医师。研究方向：骨科疾病的康复治疗。
更新日期/Last Update: 2019-07-15